Edgewood Hermantown I Senior Living LLC

Edgewood Hermantown I Senior Living LLC was paid $15.91M by Medicaid between Jan 2018 and Nov 2024, across 1 billing code. Its largest line is T2031, Assisted living; waiver, per diem — 100% of everything it billed.

33Billing provider infoEDGEWOOD HERMANTOWN I SENIOR LIVING LLC
HERMANTOWN, MN 55811

33aNPI1609050442assigned 12/27/2007

33bProvider typeAssisted Living Facility

28Total paid$15.91M

24GClaims81,159

24DCodes billed1

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Assisted Living Facility providers in Minnesota

Rank by total paid#9 of 243

Median peer was paid$1.85M

This provider vs. median8.6×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Single-Code Concentration100% of spending on code T2031 with only 1 total codes billed. Highly concentrated billing profile.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	11,764	$1.02M
2019	13,266	$2.30M
2020	9,992	$2.44M
2021	9,419	$2.39M
2022	11,398	$2.33M
2023	15,032	$2.82M
2024incomplete	10,288	$2.61M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
T2031	Assisted living; waiver, per diem	100%	81,159	6,543	$15.91M

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialWHETTER, RON (VP BUDGET AND FINANCE)

Same official

Other billing entities under WHETTER, RON

Full network →

Provider	Location	Paid
Edgewood Greenleaf Sioux Falls LLC	Sioux Falls, SD	$700K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.